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FirstVoices is a technology-centered organization that works with forty-seven Indigenous language communities around British Columbia. One of its top priorities is providing high-quality technical assistance as well as accessible annual training sessions for the platform. This requires nuanced systems of support and adaptability within the methods we use. Over the last two years, its team has grown and modified its procedures with the goal of best serving the unique needs of different communities. With nearly 1,000 support emails in its Service Desk system since June 2018 and two years of regional training -- one in-person, one entirely online -- the team has tracked trends within technology-centered language requests. In this paper, we will conduct a mixed methods analysis of all the support tickets the team has received, as well as an analysis of the qualitative and quantitative feedback from training sessions in order to break down the patterns and themes that exist. We will also discuss the process of creating and maintaining a wiki-style Knowledge Base, the variety of techniques employed to assist remote users, and the potential for future growth in FirstVoices' networks of support. Our intentions with this paper are to provide insight for community groups, language organizations, and linguists alike around capacity-building opportunities in the field of digital language mobilization. As FirstVoices continues to grow and as technology becomes even more essential within the realm of language revitalization, it is crucial that we make note of these trends and prepare ourselves to adapt to the digital-based needs of language communities.

This paper is based on a research that explored how Inuit community members in Nunavut Territory, Canada, conceptualized quality education in the socio-cultural context of the territory. Data were collected through telephone interviews of 13 Inuit community members in Nunavut and document reviews both of which were conducted in 2010. The data analysis showed that Inuit community members are gravely concerned with:(1) the low grade twelve graduation rates and high dropout rates in the territory schools;(2) School improvement planning that engages Inuit communities; (3) Integration of school with the larger community; (4) Communicative engagement with parents and other community stakeholders; (5) Culturally relevant school programming and pedagogy; and (6) Culturally appropriate disciplinary methods. In the conclusion, the paper spells out the policy implications of the findings.

Language documentation efforts are most often concerned with the adult language and usually do not include the language used by and with children. Essential parts of the natural linguistic behaviour of communities thus remain undocumented, and a growing body of literature explores what language documentation, language maintenance, and language revitalization have to gain by including child language and child-directed language. This paper adds a methodological perspective to the discussion, arguing that child language and child-directed language constitute data types that can inform our understanding of the adult language. For reasons of feasibility, the paper focuses on child-directed language only. Presenting data from two on-going language acquisition projects (Qaqet from Papua New Guinea and Dëne Suline´from Canada), we illustrate how this data type provides insights into the metalinguistic knowledge of adult speakers. After an introduction to child-directed language, three case studies on the topics of variation sets, clarification processes, and discourse context are exemplified from both languages and related to our understanding of the adult language. Focusing on the potential of this data type, this paper argues in favour of extending our documentation efforts to events involving children.

As is typical across Turtle Island, the Hul'q'umi'num' (Coast Salish) language revitalization movement is being carried by adult language learners (Haynes 2010; McIvor 2015) but becoming a proficient Hul'q'umi'num' speaker is challenging given the complexity of its sound system. In this paper, we share our experiences using the speech analysis software Praat (Boersma & Weenink 2018) to help in our pronunciation work. We describe the types of pronunciation patterns that can benefit from Praat-based speech visualization, including whole sound adjustments, glottalization adjustments, and timing adjustments. We then discuss how this tool has helped us, by providing tangible feedback on our speech, by allowing us to learn by observing and modelling (a more gentle and culturally appropriate form of learning than explicit instruction), and by learning from Elders through their voices, even when they are not able to be present during pronunciation sessions. In our experience, these benefits combine to increase the confidence that learners feel in working on their pronunciation and therefore in becoming more proficient speakers. [This article was written with Luschiimtunaat, S-hwutstus, Squtxulenuhw, and Linguistics 830 students.]

This paper investigates a trajectory of forty years of evolving practices in grassroots community development in southwestern Ontario. We present it as a case study that yields fresh perspectives in socially transformative ways of knowing and discovering. In doing so, we aim to elucidate traditions in adult education and social transformation that have 'flown under the radar.' Our analysis is based on hermeneutic analysis of written sources. Taking a practice theory perspective, we explore the "practice architectures," i.e. the cultural-discursive arrangements, material-economic arrangements, as well as social-political arrangements that enable or constrain the learning of and participation in particular practices that contribute to social innovation. Our findings suggest that the application of a practice theory framework to the complex and often unarticulated work of community development aids in bringing to light the creative ways in which the associated practices emerge, get shaped and acquired. We will conclude by discussing implications for adult learning and community development.

This paper addresses the gaps between language documentation and language revitalization. It is intended for several audiences, including field linguists interested in supporting endangered language sustainability efforts and participants of all kinds in language revitalization courses, programs, and infrastructure. The authors contend that ethnographic methods have transformative potential for contemporary language revitalization practice. Using anthropological tools, linguists and/or speech community members can enrich documentary efforts, mobilize linguistic data for more effective revitalization programs, and improve assessments of language revitalization projects. Beginning with a discussion of ethnographic methods and their connection to existing linguistic practices, this paper moves on to address the impact of language revitalization planning and infrastructure on endangered language use. It then outlines key ethnographic concepts that were identified as particularly useful in two pilot ethnographic methods classes run by the authors in 2015 and 2016, each of which can be operationalized using the basic tenets of participant observation. These concepts present ways of re-evaluating understandings of "communities"; considering language ideologies, ideological clarification, and language socialization; recognizing the nature and implications of different social roles and identities of those involved in revitalization projects; and attuning to genre and intertextuality in the development of resources. The incorporation of both basic ethnographic methodologies and of conceptual frames like these can supplement a field linguist's or a language revitalization program's tools to help them better collaborate across differences, support and assess language programs, and understand the obstacles that may exist between them, their collaborators, and sustainable language vitality.

Linguistic and anthropological research has demonstrated that language ideologies play a complex role in contexts of language endangerment, as well as in revitalization initiatives. In this paper, we articulate some central ways in which these beliefs and interests can translate into significant barriers to successful language revitalization. Based on collaborative ethnographic fieldwork with Indigenous languages in North and South America, we propose a model for planning language ideologies as a practice that can be deliberately incorporated into revitalization efforts. Given the urgency of the situation facing many languages, we argue that treating language ideologies as requiring planning is necessary and offer preliminary suggestions about what this planning could look like by analyzing examples around the language ideology assemblages of language teaching and learning.

Using interpretive research methods, this paper examines the use of pedagogical documentation (PD) as a storied method of assessment and inquiry by in-service K-3 teachers. Our findings show that PD is highly effective in opening "reflective space" for primary teachers and children aged five to eight and inviting co-inquiry to deeper pedagogical examination and interpretation of learning. The intersection of PD as a storied approach to evaluation and in teacher inquiry was implemented in a variety of ways as teachers adapted PD to meet their communal needs and address their professional goals. We conclude with a discussion of the power of digital images in learning stories and inquiry.

University management seeks to achieve the objectives established by higher education's institutions, including their third mission, which corresponds to the transfer of research results into the industry; in this regard, emerging technologies play an important role to solve problems identified in the industry. Emerging technologies are those found in the embryonic stage of its life cycle. Although they have features that make them difficult to manage, they can quickly change the dynamics of the market. That is why it is necessary to analyze the management process of these technologies at the university level, due to, in many cases, it is in high education institutions where these technologies arise. This paper presents results of a study aiming at analyzing the process of university management of emerging technologies in a developing country, identifying gaps in such process in relation to referent countries, and proposing recommendations to reduce those gaps. The research methodology included benchmarking to identify best practices concerning referent universities and a case study in which a university research group in a developing country was analyzed. Results indicate that universities of developing countries acknowledge the importance of managing emerging technologies, which should lead to structural changes in the Systems of Science and Technology as well as in the higher education's institutions and in the management of the research groups that generate and use these technologies. However, the analysis identified some key success factors of referent universities to be either absent or acting deficiently in the focal case studied. Finally, some recommendations are proposed to reduce the identified gaps.

The period of 2010 to 2014 marked a relatively stable stage in the evolving quality assurance system for Ontario postsecondary education, particularly following massive changes after 2000. The current system consists of three frameworks overseen respectively by three quality assurance agencies--the Ontario Universities Council on Quality Assurance, the Ontario College Quality Assurance Service, and the Postsecondary Education Quality Assessment Board, each serving different purposes. This paper uses van Vught and Westerheijden's (1994) general model of quality assessment and Jeliazkova and Westerheijden's (2002) Phase Model of quality assurance systems development as heuristic tools for the analysis. The following four areas are discussed: formalized quality mechanisms with diversity; the arms-length tripartite relationship with a distinction between self-regulation and government regulation; mixed phases of quality assurance development and the maturing process; and gaps in the system. It is argued that within fifteen years, a comprehensive and relatively mature quality assurance system with diverse but rigorous mechanisms has been developed for Ontario postsecondary education although a few deficiencies exist, including the continued lack of coordination within the system. The evolution of the system appears to reflect a path trajectory of governance structure development of the Ontario postsecondary education system as well as be a result of interactions between the local and the global.

This paper outlines a preliminary document analysis of the intersection of two prominent discourses in the Western public academy: equity and internationalization. Particular dilemmas arise for people who self-identify as lesbian, gay, bisexual, or transgender (LGBT). These dilemmas, I propose, exemplify impacts of the neoliberal compulsion to let financial costs and benefits drive change. After explaining the globalizing discourses of LGBT rights and internationalization, I use texts from my home university to illustrate the implications of their convergence for post-secondary institutions and the LGBT people who work and study within them.

Collaborative inquiry (CI) has emerged as a dominant structure for educators' professional learning in the 21st century. The purpose of this paper is to analyze publicly available documents and policies related to CI in Ontario in order to better understand the documentary scope and spread of this professional learning model in the province. We begin by defining the parameters of CI as a dominant professional learning model before detailing our methodology for selecting and analyzing CI policies and documents at both ministry and school board levels. In our subsequent analysis, we enumerate emergent themes and findings and offer three sample case studies that illustrate how school boards in the province are documenting their experiences with CI. Finally, we conclude with a discussion of potential tensions within current CI policies as a basis for future research and policy development.

In an era of knowledge abundance, scholars have the capacity to distribute and share ideas and artifacts via digital networks, yet networked scholarship often remains unrecognized within institutional spheres of influence. Using ethnographic methods including participant observation, interviews, and document analysis, this study investigates networks as sites of scholarship. Its purpose is to situate networked practices within Boyer's (1990) four components of scholarship--discovery, integration, application, and teaching--and to explore them as a techno-cultural system of scholarship suited to an era of knowledge abundance. Not only does the paper find that networked engagement both aligns with and exceeds Boyer's model for scholarship, it suggests that networked scholarship may enact Boyer's initial aim of broadening scholarship itself through fostering extensive cross-disciplinary, public ties and rewarding connection, collaboration, and curation between individuals rather than roles or institutions.

Students with learning disabilities and other high-incidence hidden exceptionalities (HIHE) can struggle with secondary difficulties including low confidence in their abilities (e.g., Klassen, 2010) along with primary difficulties related to their exceptionality. The purpose of this paper is to highlight the importance of the perspective of individuals with hidden exceptionalities with regard to maladaptive beliefs they can form. Using learning disabilities as a platform for discussing HIHE, we unpack two types of maladaptive beliefs--related to generalizations and mindset--and suggest adaptive alternative beliefs that can promote adaptive behaviour. The focus on maladaptive beliefs draws attention to the identification process, and specifically the types of variables that can influence how well aligned parts of the process are for particular students. We present a framework that contextualizes individual beliefs within the identification process, and what other variables determine alignment of parts within the process. The framework can be used to support educators through the identification process, as well as researchers in providing direction for future research.

In our work in environmental education (EE) as part of formal schooling we partnered with local schools to explore the practice of embedding, or integrating EE within formal school curriculum using inquiry-based pedagogies. In this paper we report on and discuss our growing understanding of the practice of pedagogical documentation and the subsequent creation of learning stories within the context of EE. Our thinking is focused on how teacher practice in the use of learning stories might strengthen student self-determination in inquiry-based environmental education opportunities. We describe the E4E (Educating for Environment) school project, and provide samples of learning stories as evidence for analysis and discussion. Working with a grounded theory approach, we propose that student thinking in inquiry-based contexts might follow one or more of five thinking/learning pathways (reasoning, propositional, action-oriented, metacognitive and emotive). We close with comments on the benefits to students and educators alike, when we merge EE with learning stories.

Several movements have emerged related to the general idea of promoting "openness" in science. Research councils are key institutions in bringing about changes proposed by these movements, as sponsors and facilitators of research. In this paper we identify the approaches used in Canada, the US and the UK to advance open science, as a step towards understanding how policy in this area is evolving. The findings highlight three broad patterns across the countries, showing that open science is supported not only be the activities of individual research councils, but also through government mandates and inter-council cooperation. These patterns involve efforts to create a digital infrastructure for open science, to foster open access, and to support open data initiatives.

In the context of a lecture, the capacity to readily recognize and synthesize key concepts is crucial for comprehension and overall educational performance. In this paper, we introduce a tool, the Collaborative Lecture Annotation System (CLAS), which has been developed to make the extraction of important information a more collaborative and engaged process. The system relies on semantically constrained annotation, postannotation data amalgamation and transparent display of this amalgamated data. In addition to describing the CLAS, we report on a user experience study aimed at investigating students' perception of the utility of the tool.

Copyright of Physiotherapy Canada is the property of University of Toronto Press and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This article has been withdrawn: please see Elsevier Policy on Article Withdrawal (http://www.elsevier.com/locate/withdrawalpolicy). This article has been withdrawn at the request of the editor and publisher. The publisher regrets that an error occurred which led to the premature publication of this paper. This error bears no reflection on the article or its authors. The publisher apologizes to the authors and the readers for this unfortunate error., (Copyright © 2022 Elsevier B.V. All rights reserved.)

The Tin House Courtyard is a property of the National Capital Commission (NCC) in Ottawa, Canada. The site is located within the 'Mile of History', a historical route running from Parliament Hill to the Governor General's residence. Currently, existing assets are under intervention works that include several preservation and renewal actions. Within the broader project, one of the tasks before construction works started was the documentation of the set of facades. The Carleton Immersive Media Studio (CIMS) at Carleton University in Ottawa was commissioned by NCC to conduct the recording of the area. This paper describes the process undertaken from field work to the final deliverable to the client, as well as the issues faced in between. Nowadays, up to date surveying technologies have revolutionized the methodologies for cultural heritage documentation. In this regard, the recording strategy employed encompassed the use of photogrammetry, laser scanner, total station, as well as different pre and post processing software in order to generate the desired outcomes. [ABSTRACT FROM AUTHOR]

Parliament Hill consists of four historic gothic revival buildings, which form part of the Parliament Buildings National Historic Site of Canada in the National Capital of Ottawa. There are more than 2000 masonry sculptural elements throughout the four buildings. Three of the buildings are in the middle of multi-year rehabilitation projects. Extensive Heritage Documentation is being undertaken to support various activities and conservation teams throughout the interior and exterior of the buildings while also serving as a key posterity records. One of the significant heritage documentation projects is the 3D digitization of the 2000+ heritage character defining sculptural elements. The Heritage Conservation Directorate (HCD) of Public Works and Government Services Canada (PWGSC) was tasked by the Parliamentary Precinct Branch (PPB) of PWGSC to document these character defining elements. The sculptures vary in size from as small as 100mm in width to up to 2 meters in size. This project is in its third year and much has been learned and researched about the most appropriate and efficient means by which to document these elements. Although a methodology was in place to document the sculptures at the inception of the project, it has gone through several iterations in order to improve the gathered data, and in turn increase the efficiency, quality and speed of data acquisition. This paper will describe the evolution of the methodology, as well as the rationale for the alterations in technique. With over 600 of the approximate 2000 (heritage character defining) sculptural elements captured to date, the project is entering a critical phase where an efficient and effective method for sharing and disseminating the information to a wide audience is being explored and evaluated. The end result is intended to allow the client (PPB) and the general public a way to look at and interactively manipulate the viewpoint of each digital model. This will provide a unique opportunity for a wide audience to evaluate and appreciate these elaborate works of art. This database of information can also be of use for academic study and research. To date the data captured by HCD has been utilized by conservation professionals and by the Carleton Immersive Media Studio (CIMS) of Carleton University. HCD has partnered with CIMS to explore a wide variety of potential uses for the data including the creation of 2D-drawings, stone carving profile templates, 3D printed scale models, CNC carved maquettes, robotic stone carving, and digitally-designed replacement elements. CIMS and HCD have tested the limits of digital technologies to assist stone carvers in restoring carved elements while also learning from the sculptors and masons to better understand their approach when conserving or restoring a sculptural element. Examples of how the conservation team, specifically the stone carvers have been working with the data and technology will also be presented. [ABSTRACT FROM AUTHOR]

Introduction: International evidence shows that enhancement of primary health care (PHC) services for disadvantaged populations is essential to reducing health and health care inequities. However, little is known about how to enhance equity at the organizational level within the PHC sector. Drawing on research conducted at two PHC Centres in Canada whose explicit mandates are to provide services to marginalized populations, the purpose of this paper is to discuss (a) the key dimensions of equity-oriented services to guide PHC organizations, and (b) strategies for operationalizing equity-oriented PHC services, particularly for marginalized populations. Methods: The PHC Centres are located in two cities within urban neighborhoods recognized as among the poorest in Canada. Using a mixed methods ethnographic design, data were collected through intensive immersion in the Centres, and included: (a) in-depth interviews with a total of 114 participants (73 patients; 41 staff), (b) over 900 hours of participant observation, and (c) an analysis of key organizational documents, which shed light on the policy and funding environments. Results: Through our analysis, we identified four key dimensions of equity-oriented PHC services: inequity-responsive care; trauma- and violence-informed care; contextually-tailored care; and culturally-competent care. The operationalization of these key dimensions are identified as 10 strategies that intersect to optimize the effectiveness of PHC services, particularly through improvements in the quality of care, an improved 'fit' between people's needs and services, enhanced trust and engagement by patients, and a shift from crisis-oriented care to continuity of care. Using illustrative examples from the data, these strategies are discussed to illuminate their relevance at three inter-related levels: organizational, clinical programming, and patient-provider interactions. Conclusions: These evidence- and theoretically-informed key dimensions and strategies provide direction for PHC organizations aiming to redress the increasing levels of health and health care inequities across population groups. The findings provide a framework for conceptualizing and operationalizing the essential elements of equity-oriented PHC services when working with marginalized populations, and will have broad application to a wide range of settings, contexts and jurisdictions. Future research is needed to link these strategies to quantifiable process and outcome measures, and to test their impact in diverse PHC settings. [ABSTRACT FROM AUTHOR]

In this paper a probabilistic branch and bound procedure is developed for the ambulance location problem. Information on system characteristics under various ambulance assignments and dispatch rules was provided by a digital simulation. The output of the simulation was also used to construct the objective function for the optimal location problem. The procedure was used to determine ambulance locations in Vancouver, Canada. Solutions obtained from the branch and bound procedure were verified by simulation runs. [ABSTRACT FROM AUTHOR]

Copyright of Canadian Journal of Hospital Pharmacy / Journal Canadien de la Pharmacie Hospitalière is the property of Canadian Society of Hospital Pharmacists and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The purpose of this study was to describe policies developed by English-speaking Canadian health authorities to guide multi-disciplinary healthcare practice in the context of MAID. Seventeen policies from 9 provinces and 3 territories were identified and analyzed thematically. Themes developed from these documents related to ensuring a team approach to care, supporting informed patient choice, creating region-specific guidance on eligibility criteria and safeguards, accommodating conscientious objection, and making explicit organizational responsibilities. Ethical language concerned vulnerability, non-judgmental care, dignity, non-abandonment, confidentiality, moral conscience, and diverse cultural values. Overall, these policies addressed important risk mitigation strategies, acknowledged important social contracts, and supported ethical practice. Collectively, these policies outline important considerations in the evolving Canadian context for other jurisdictions seeking to create policy around assisted death. [ABSTRACT FROM AUTHOR]

This contribution summarizes the collaboration between Carleton Immersive Media Studio (CIMS) and Heritage Standing in the use of digital technologies to document the Beinn Bhreagh Hall historic site (house and immediate surroundings) in Baddeck, Nova Scotia for its rehabilitation and protection. The project objectives were to develop a prototype for research and training using 3D scanning, and Building Information Modelling (BIM), as well as other emerging surveying tools to understand the state of conservation of Historic Places in Canada, providing relevant and appropriate information for their rehabilitation and maintenance. The vehicle of this research was the documentation and modelling of this important landmark, the summer home of Dr. Alexander Graham Bell in Victoria County, Nova Scotia. This unique 19thC building, currently under review for designated as a national historic site. [ABSTRACT FROM AUTHOR]

Background: COVID-19 has spread rapidly, requiring health delivery systems to undertake dramatic transformations. To evaluate these system changes, we undertook one of the first Canadian health delivery system reviews and the first Canadian cancer centre evaluation of pandemic system modifications. Methods: Questionnaires were distributed to the Canadian Association of Provincial Cancer Agencies (CAPCA) members in order to assess changes to cancer centre services and patient management. Documentation relating to COVID-19 from the CAPCA electronic space was accessed, and all publicly available cancer centre documentation related to COVID-19 was reviewed. Results: Seven provinces completed the questionnaire and had documentation available from the CAPCA electronic space. All screening programs across Canada were suspended. In most provinces surveyed, ≥50% of outpatient appointments were occurring virtually, with <25% using video platforms. Generally, the impact on diagnostic imaging and new patient referrals correlated with the impact of COVID-19. Most provinces had a reduction in operating room availability, with chemotherapy and radiation treatments continuing. Public health modification, including personal protective equipment and screening staff, varied across the country. Conclusion: Canadian cancer centres underwent a rapid and aggressive transformation of services in response to COVID-19, with many similarities and differences across provinces. In part, this response was facilitated by communication under a national association, which in Canada remains unique to cancer. This response may serve to inform changes in other jurisdictions or disease states now and in future waves of the pandemic, as well as a record of changes for future health services and patient outcome research. [ABSTRACT FROM AUTHOR]

Background: Complete growth measurements are an essential part of pediatric care providing a proxy for a child's overall health. This study describes the frequency of well-child visits, documented growth measurements, and clinic and provider factors associated with measurement. Methods: Retrospective cross-sectional study utilizing electronic medical records (EMRs) from primary care clinics between 2015 and 2017 in Manitoba, Canada. This study assessed the presence of recorded height, weight and head circumference among children (0–24 months) who visited one of 212 providers participating in the Manitoba Primary Care Research Network. Descriptive and multivariable logistic regression analyses assessed clinic, provider, and patient factors associated with children having complete growth measurements. Results: Our sample included 4369 children. The most frequent growth measure recorded was weight (79.2% n = 3460) followed by height (70.8% n = 3093) and head circumference (51.4% n = 2246). 67.5% of children (n = 2947) had at least one complete growth measurement recorded (i.e. weight, height and head circumference) and 13.7% (n = 599) had complete growth measurements at all well-child intervals attended. Pediatricians had 2.7 higher odds of documenting complete growth measures within well-child intervals compared to family physicians (95% CI 1.8–3.8). Additionally, urban located clinics (OR 1.7, 95% CI 1.2–2.5), Canadian trained providers (OR 2.3, 95% CI 1.4–3.7), small practice size (OR 1.6, 95% CI 1.2–2.2) and salaried providers (OR 3.4, 95% CI 2.2–5.2) had higher odds of documented growth measures. Conclusions: Growth measurements are recorded in EMRs but documentation is variable based on clinic and provider factors. Pediatric growth measures at primary care appointments can improve primary prevention and surveillance of child health outcomes. [ABSTRACT FROM AUTHOR]

Background Despite universal access to health care in Canada, there are disparities relating to social determinants of health that contribute to discrepancies between rural and urban areas in cancer incidence and outcomes. Given that Canada has one of the highest-quality national population-based cancer registry systems in the world and that little information is available about cancer statistics specific to northwestern Ontario, the purpose of the present study was to estimate the percentage of cancer patients without documentation of a specialist consultation (medical or radiation oncology consultation) and to determine factors that affect access to specialist consultation in northwestern Ontario. Methods This population-based retrospective study used administrative data obtained through the Ontario Cancer Data Linkage Project. For each index case, a timeline was constructed of all Ontario Health Insurance Plan billing codes and associated service dates, starting with the primary cancer diagnosis and ending with death. Specific factors affecting access to specialist consultation were assessed. Results Within the 6-year study period (2010-2016), 2583 index cases were identified. Most (n = 2007, 78%) received a specialist consultation. Factors associated with not receiving a specialist consultation included older age [p < 0.0001; odds ratio (or): 0.29; 95% confidence interval (ci): 0.19 to 0.44] and rural residence (p < 0.0001; or: 0.48; 95% ci: 0.48 to 0.72). Factors associated with receiving a specialist consultation included a longer timeline (p < 0.0001; or: 1.32; 95% ci: 1.19 to 1.46), a diagnosis of breast cancer (p < 0.0001; or: 2.51; 95% ci: 1.43 to 4.42), and a diagnosis of lung cancer (p < 0.0001; or: 1.77; 95% ci: 1.38 to 2.26). Conclusions This study is the first to look at care access in northwestern Ontario. The complexity and multidisciplinary nature of cancer care makes the provision of appropriate care a challenge; a one-size-fits-all disease prevention and treatment strategy might not be appropriate. [ABSTRACT FROM AUTHOR]

Canada is in the midst of an illicit drug overdose crisis and social workers are among the front-line responders employed by organizations using harm reduction strategies. An environmental scan of provincial and territorial social work regulatory organizations in Canada sought any relevant documentation, resources, or responses related to the overdose crisis to understand how social work as a profession has been responding to the overdose crisis and what we can learn to inform future responses. All responses focused on naloxone and some specifically limited the administration and distribution of naloxone by social work practitioners. The scan revealed little guidance or advocacy on major policy and practice issues such as overdose prevention, supervised and assisted injections, or shifting drug laws towards decriminalization and regulation. Social workers play a critical role in responding to the overdose crisis in Canada. Harm reduction as a response to substance use and overdose is consistent with social work ethics and standards of practice. The Canadian Association of Social Workers supports Canada's move to a public health response to substance use and advocates for decriminalization. As safer drug supply responses are gaining traction in Canada, social work regulators have opportunities to define healthy and just alternative responses other than the extremes of criminalization and medicalization of substance use. [ABSTRACT FROM AUTHOR]

Background Advance care planning (ACP) is a process that enables individuals to describe, in advance, the kind of health care they would want in the future, and has been shown to reduce hospital-based interventions at the end of life. Our goal was to describe the current state of ACP in a home-based primary care program for frail homebound older people in Vancouver, Canada. We did this by identifying four key elements that should be essential to ACP in this program: frailty stage, documentation of substitute decision-makers, and decisionmaking with regard to both resuscitation (i.e., do not resuscitate (DNR)) and hospitalization (i.e., do not hospitalize (DNH)). While these elements are an important part of the ACP process, they are often excluded from common practice. Methods This was a cross-sectional, observational study of data abstracted from 200 randomly selected patient electronic medical records between July 1 and September 30, 2017. We describe the association between demographic characteristics, comorbidities, and four key elements of ACP documentation and decision-making as documented in the clinical record using bivariate comparison, a logistic regression model and multiple logistic regression analysis. Results In 73% (n=146) of the patient records, there was no explicit documentation of frailty stage. Sixty-four per cent had documentation of a substitute decision-maker. Of those who had their preferences documented, 90.6% (n=144/159) indicated a preference for DNR, and 23.6% (n=29/123) indicated a preference for DNH. In multiple regression modeling, a diagnosis of dementia and older age were associated with documentation of a DNR preference, adjusted odds ratio (AOR) = 4.79 (95% CI 1.37, 16.71) and AOR = 1.14 (95% CI 1.05, 1.24), respectively. Older age, male sex, and English identified as the main language spoken were associated with a DNH preference. AOR = 1.17 (95% CI 1.06, 1.28), AOR = 4.19 (95% CI 1.41, 12.42), and AOR = 3.42 (95% CI 1.14, 10.20), respectively. Conclusions Clinician documentation of some elements of ACP, such as identification of a substitute decision-maker and resuscitation status, have been widely adopted, while other elements that should be considered essential components of ACP, such as frailty staging and preferences around hospitalization, are infrequent and provide an opportunity for practice improvement initiatives. The significant association between language and ACP decisions suggests an important role for supporting cross-cultural fluency in the ACP process. [ABSTRACT FROM AUTHOR]

The article offers information on the availability and the sources of data presented in the journal "Canadian Economic Observer." The data contained in this publication are as available on June 8, 2007 and they are seasonally adjusted. Some tables in this journal have selected components. Data are retrieved from the Official Mark of Statistics Canada for its Canadian Socio-Economic Information Management System.

Our aim is to develop a robust socio‐geographical transferable theory outlining the basic social process used by members of an interprofessional health care team when making decisions around wound care management. Using a qualitative multigrounded theory approach, three focus groups were held at the Royal Victoria Regional Health Centre in Barrie, Ontario, Canada, comprised of 13 clinicians who participate in wound care decision‐making. Data were analysed using an approach developed for multigrounded theory. A Critical Realist theoretical lens was applied to data analysis in the development of conclusions. Ten categories were identified before thematic saturation. Category interactions developed a perceived basic social process outlining how interprofessional clinicians determine how they approach wound care decisions: patient factors, scope of practice, equipment and supplies, internal clinician factors, knowledge and education, interprofessional team, assessment, wound care specialist consultation, and care plan, as well as documentation and communication. Understanding how wound care decision‐making is determined by interprofessional health care providers will assist clinical leaders and policy makers in creating a foundation for determining resource allocation, allowing clinicians to use evidence‐based practice to improve patient and clinician satisfaction, wound healing time, decrease costs, and prevent wound recurrence. [ABSTRACT FROM AUTHOR]

Copyright of Canadian Oncology Nursing Journal is the property of Pappin Communications and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Administrative health data are increasingly used for research and surveillance to inform decision-making because of its large sample sizes, geographic coverage, comprehensivity, and possibility for longitudinal follow-up. Within Canadian provinces, individuals are assigned unique personal health numbers that allow for linkage of administrative health records in that jurisdiction. It is therefore necessary to ensure that these data are of high quality, and that chart information is accurately coded to meet this end. Our objective is to explore the potential barriers that exist for high quality data coding through qualitative inquiry into the roles and responsibilities of medical chart coders.Methods: We conducted semi-structured interviews with 28 medical chart coders from Alberta, Canada. We used thematic analysis and open-coded each transcript to understand the process of administrative health data generation and identify barriers to its quality.Results: The process of generating administrative health data is highly complex and involves a diverse workforce. As such, there are multiple points in this process that introduce challenges for high quality data. For coders, the main barriers to data quality occurred around chart documentation, variability in the interpretation of chart information, and high quota expectations.Conclusions: This study illustrates the complex nature of barriers to high quality coding, in the context of administrative data generation. The findings from this study may be of use to data users, researchers, and decision-makers who wish to better understand the limitations of their data or pursue interventions to improve data quality. [ABSTRACT FROM AUTHOR]

Copyright of Canadian Oncology Nursing Journal is the property of Pappin Communications and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Reviews requirements for the documentation of forceps/vacuum extraction deliveries in Ontario. Assessment of the forms of delivery conducted in hospitals; Comparison of documents with a master list of requirements; Creation of a generic form to aid local perinatal committees.

The article describes the project of creating an online finding aid for exhibition records and other material related to the various exhibitions held between 1880 and 1998 at the National Gallery of Canada (NGC). The gallery's long exhibition history has created a wealth of material and various means have been developed to provide access to this material. Funding received by the NGC Library and Archives in 1995 enabled it to proceed with exhibition documentation and to employ a full-time researcher.

The article reports that the Missouri Botanical Garden (MBG) has announced the launch of a project to catalog the plants of North America. The Flora of North America (FNA) project will provide full descriptions and range distributions for the plants of the United States, Canada, Greenland, Saint Pierre and Miquelon. The MBG serves as the organizational center. Its editorial committee members are stationed throughout the United States and Canada. FNA will be available both as a publication and computerized data base.